摘要
目的 探讨青年急性心肌梗死（AMI）的临床特点.方法 回顾分析68例40岁以下急性心肌梗死患者和172例中老年患者的临床资料,分析其临床特点、危险因素、冠状动脉造影结果、经皮冠状动脉介入治疗（PCI）效果及预后.结果 青年急性心肌梗死以男性为主,危险因素以吸烟、超重、冠心病阳性家族史为主.其临床表现典型,血管病变简单（冠状动脉造影56例,其中冠脉痉挛3例,其余均有冠脉血管病变）.死亡率低,预后相对良好.结论 AMI发病年轻化.青年患者中男性占绝大多数,病因以冠状动脉硬化为主,危险因素和冠状动脉病变特点与老年人不同,临床医生应加以重视.
Objective To explore the clinical features of youth with acute myocardial infarction （AMI）. Methods Retrospective analyzed 68 patients with acute myocardial infarction under 40 with 172 elderly patients, analyzed its clinical characteristics, risk factors, coronary angiography result, percutaneous coronary artery inter- ventional therapy effects and prognosis. Results The youth acute myocardial infarction predominantly male, risk factors for coronary heart disease （CHD） with smoking and being overweight, positive for the family. Clinical man- ifestations of typical vascular lesions, simple coronary angiography （56 cases, 3 cases of coronary spasm, the rest are coronary vascular lesions）, the mortality rate was low, relatively favourable prognosis. Conclusion AMI onset make more youthful,male youth account the overwhelming majority, chief causes of disease in youth is coronary artery atherosclerosis, and the risk factors and coronary artery pathological changes characteristics were different with elderly patients. Clinician should take care of it.
出处
《中国心血管病研究》
CAS
2011年第2期123-125,共3页
Chinese Journal of Cardiovascular Research
关键词
青年人
急性心肌梗死
危险因素
临床特点
冠状动脉造影
Youth
Acute myocardial infarction
Risk factors
Clinical characteristics
Coronary arteriography
